Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,105.00 / $3,700.00 / $7,723.00	Facility		$1,105.00	$3,700.00	$7,723.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,627.76 / $2,072.10 / $3,898.06	Professional		$1,627.76	$2,072.10	$3,898.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,751.38 / $29,414.72 / $58,902.97	Facility		$13,751.38	$29,414.72	$58,902.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,709.58 / $3,746.72 / $4,393.77	Professional		$2,709.58	$3,746.72	$4,393.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $14,975.00 / $19,446.00	Facility		$875.00	$14,975.00	$19,446.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,901.66 / $3,139.68 / $4,305.87	Professional		$1,901.66	$3,139.68	$4,305.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,339.63 / $3,628.55 / $8,852.99	Professional		$2,339.63	$3,628.55	$8,852.99
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,252.98 / $2,721.06 / $3,144.74	Professional		$2,252.98	$2,721.06	$3,144.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,555.97	Professional		$32.34	$32.34	$3,555.97
United Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $7,842.00 / $21,651.00	Facility		$2,421.00	$7,842.00	$21,651.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,794.25 / $2,484.86 / $4,739.67	Professional		$1,794.25	$2,484.86	$4,739.67